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通过超声引导下细针穿刺活检对肝脏局灶性病变进行组织学鉴别诊断。

Histologic differential diagnosis of focal liver lesions by ultrasonically guided fine needle biopsy.

作者信息

Limberg B, Höpker W W, Kommerell B

出版信息

Gut. 1987 Mar;28(3):237-41. doi: 10.1136/gut.28.3.237.

DOI:10.1136/gut.28.3.237
PMID:3552904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1432700/
Abstract

Ultrasonically guided fine needle biopsies were carried out in 84 patients with focal liver lesions and were subsequently evaluated histologically. A correct diagnosis of malignancy was made in 46 of 52 patients with proven hepatic malignancy, showing an overall accuracy of 93%. The specificity of the procedure was 100%. Such histological examination not only enables the differentiation between primary and secondary hepatic malignancy; it has the additional advantage of making a more precise tumour description and at the same time it pinpoints the primary site of the tumour.

摘要

对84例有肝脏局灶性病变的患者进行了超声引导下细针穿刺活检,并随后进行了组织学评估。在52例经证实为肝恶性肿瘤的患者中,46例做出了正确的恶性肿瘤诊断,总体准确率为93%。该检查方法的特异性为100%。这样的组织学检查不仅能够区分原发性和继发性肝恶性肿瘤;它还有进一步的优势,即能更精确地描述肿瘤,同时还能确定肿瘤的原发部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44d9/1432700/7dba5acf1736/gut00241-0013-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44d9/1432700/7dba5acf1736/gut00241-0013-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44d9/1432700/7dba5acf1736/gut00241-0013-a.jpg

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Histologic differential diagnosis of focal liver lesions by ultrasonically guided fine needle biopsy.通过超声引导下细针穿刺活检对肝脏局灶性病变进行组织学鉴别诊断。
Gut. 1987 Mar;28(3):237-41. doi: 10.1136/gut.28.3.237.
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本文引用的文献

1
Computed tomography of cavernous hemangioma of the liver.肝脏海绵状血管瘤的计算机断层扫描
Radiology. 1980 Oct;137(1 Pt 1):149-55. doi: 10.1148/radiology.137.1.7422836.
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Fine needle aspiration of the liver with ultrasound guidance.在超声引导下对肝脏进行细针穿刺抽吸。
Radiology. 1980 Jul;136(1):177-80. doi: 10.1148/radiology.136.1.7384496.
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Percutaneous fine-needle aspiration biopsy. I. Its value to clinical practice.经皮细针穿刺活检。I. 其在临床实践中的价值。
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Cytological vs microhistological diagnosis of hepatocellular carcinoma: comparative accuracies in the same fine-needle biopsy specimen.肝细胞癌的细胞学诊断与显微组织学诊断:同一细针穿刺活检标本中的比较准确性
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Small (< or = 3 cm) hepatic lesions. Results of sonographically guided fine-needle biopsy in 385 patients.小(≤3厘米)肝脏病变。385例患者超声引导下细针穿刺活检结果
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7
Comparison between the 21-gauge Urocut needle and the 21-gauge Surecut needle in echo-guided percutaneous biopsy of neoplastic liver lesions.21号Urocut针与21号Surecut针在超声引导下对肝脏肿瘤性病变进行经皮活检的比较。
Surg Endosc. 1989;3(1):38-41. doi: 10.1007/BF00591314.
8
Diagnostic accuracy of fine-needle aspiration biopsy in patients with hepatocellular carcinoma.细针穿刺活检对肝细胞癌患者的诊断准确性
Dig Dis Sci. 1989 Nov;34(11):1765-9. doi: 10.1007/BF01540056.
9
Diagnosis of hepatic cavernous hemangioma by fine needle aspiration biopsy under ultrasonic guidance.超声引导下细针穿刺活检诊断肝海绵状血管瘤
Gastrointest Radiol. 1990 Winter;15(1):39-42. doi: 10.1007/BF01888731.
10
Role of ultrasound guided fine needle aspiration biopsy in the diagnosis of hepatocellular carcinoma.超声引导下细针穿刺活检在肝细胞癌诊断中的作用
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Cancer. 1980 Mar 15;45(6):1480-5. doi: 10.1002/1097-0142(19800315)45:6<1480::aid-cncr2820450630>3.0.co;2-4.
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Cytohistologic diagnosis of neoplasms of the liver by ultrasonically guided fine-needle aspiration biopsy.超声引导下细针穿刺活检对肝脏肿瘤的细胞组织学诊断
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Gastroenterology. 1984 Oct;87(4):948-52.
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